Idaho Medicaid (Health Coverage): Eligibility & How to Apply | Benefit Guardian

Idaho Medicaid: Eligibility & How to Apply

Last updated: June 2026

Medicaid in Idaho is administered by the Idaho Department of Health and Welfare. It provides free or low-cost health coverage to eligible low-income individuals and families, including children, pregnant women, seniors, and people with disabilities.

What is Medicaid in Idaho?

Medicaid is a joint federal and state health-coverage program run locally by the Idaho Department of Health and Welfare. It covers services such as doctor visits, hospital care, prescriptions, preventive care, and more. Coverage and covered services follow both federal rules and Idaho-specific policies.

Who is eligible?

Eligibility is based primarily on household income measured against the Federal Poverty Level (FPL), using Modified Adjusted Gross Income (MAGI) for most groups. Income limits vary by household size and by category — children, pregnant women, parents, adults, seniors, and people with disabilities each have their own thresholds. Because limits vary by state and group, check the official Idaho source below for the current figures that apply to your situation.

What does Medicaid cover?

  • Doctor and clinic visits
  • Hospital and emergency care
  • Prescription medications
  • Preventive and wellness care
  • Maternity and newborn care
  • Behavioral health and many long-term care services

How to apply

You can apply online, by phone at 1-877-456-1233, or by mail/in person at a local office. The Idaho Department of Health and Welfare reviews your application and income information to determine eligibility. You can also apply through the federal Health Insurance Marketplace at HealthCare.gov, which will route Medicaid-eligible applicants to the state.

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Official source

For official details and current income limits, visit the Idaho Department of Health and Welfare and Medicaid.gov.

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